New Jersey Licensed Clinical Documentation Specialist

A company is looking for a Clinical Documentation Integrity DRG Downgrade Specialist. Key Responsibilities Analyze payer DRG downgrade notifications and conduct comprehensive medical record reviews Write persuasive appeal letters and track cases through the appeal lifecycle Collaborate with internal teams to improve documentation practices and participate in audits Required Qualifications Bachelor's degree in Nursing required Minimum of 3 years of experience in a clinical documentation improvement role RN, CCDS and/or CDIP with CCS certification required Demonstrated inpatient coding experience in an acute care setting Deep knowledge of ICD-10-CM/PCS and DRG reimbursement systems